RKO OBAT GUDANG TAHUN 2017.xlsx

8/15/2019 RKO OBAT GUDANG TAHUN 2017.xlsx

1/12

FORMULIR RENCANA KEBUTUHAN OBAT UPTD PUSKE

Nama Puskesmas : TELUK RENDAH

Alama : Ke!" Te#$ Il%&

N$ Nama O#a

1 Acyclovir tablet 200 mg

2 Acyclovir tablet 400 mg

3 Acyclovir Krim 5%

4 Albendazol tablet

5 Alopurinol tablet 100 mg

6 Alprazolam 0,5 mg tablet

7 Ambrool tablet 30 mg

! Ambrool "irup 15 mg#ml

$ Aminolin tablet 200 mg

10 Aminolin &n'e("i 24 mg#ml ) 10 ml

11 Amitriptilin *+l tablet "alut 25 mg12 Amlodipin tablet 10 mg

13 Amlodipin tablet 5 mg

14 Amo("i"ilin (ap"ul 250 mg

15 Amo("i"ilin (aplet 500 mg

16 Amo("i"ilin "irup (ering 125 mg# 5 ml

17 Ampicilin tablet 500 mg

1! Ampicilin "irup 125 mg#5 ml

1$ Antalgin -etampiron. tablet 500 mg

20 Antalgin &n'e("i 250 mg#ml ) 2 ml

21 Anta"ida / tab (ombina"i -g)*idro("ida 200 mg Al *idro("ida 200 mg22 Anta"ida / "u"pen"i (ombina"i -g)idro("ida 200 mg Al *idro("ida 200 mg

23 Antiba(teri / "alep (ombina"i a"itra"in 500 &#g polimi("in 10000 &#g

24 Anti *aemoroid / (ombina"i

25 Anti8ungi / Kombina"i A"am enzoat 6% A"am 9ali"ilat 3%

26 Antimigren rgotamin :artrat 1 mg Ko8ein 500 mg

27 Antipar(in"on / tablet (ombina"i Karbidopa 25 mg ;evodopa 250 mg

2! Arte"unat tablet

2$ Arte"unat in'e("i

30 A


2/12

46 +ipro>o("a"in tablet 500 mg

47 +e8otaim 1 gr in'e("i

4! +e8tria("on in'

4$ /a"abion# tabion (ap"ul# ?e@avral

50 /e("ameta"on in'e("i 5 mg#ml ) 1 ml

51 /e("ameta"on tablet 0,5 mg

52 /etrometorp@an "irup

53 /iazepam in'e("i 5 mg#ml ) 2 ml

54 /iazepam tablet 2 mg55 /iazepam tablet 5 mg

56 /i8en@idramin *+l &n' 10 mg#ml ) 1 ml

57 /igo("in tablet 0,25 mg

5! /iltiazem *+l tablet

5$ /o("i"i(lin *+; 100 mg (ap"ul

60 /omperidon tablet 10 mg

61 domperidon "irup 10

62 8edrin *+l tabet 2 mg

63 ("tra( elladon tablet 10 mg

64 pine8rin *+l# itartrat in'e("i 0,1%)1ml65 ta(ridin ivanol. larutan 1%

66 tanol 70%

67 tanol 70%

6! rytromi"in "irup

6$ rytromi"in (ap"ul 250 mg

70 rytromi"in (ap"ul 500 mg

71 Bamotidin tablet 20 mg

72 Benitoin natrium in'e("i 50 mg#ml

73 Benitoin natrium (ap"ul 100 mg

74 Benitoin natrium (ap"ul 30 mg

75 Benobarbital in'e("i 50 mg#ml ) 1ml

76 Benobarbital tablet 30 mg

77 Beno("imetil ?eni"ilina tablet 250 mg

7! Beno("imetil ?eni"ilina tablet 500 mg

7$ Benol gli"erol tete" telinga 10%

!0 Berro"u" "ul8a" 300 mg

!1 Bitomenadion =it K1. in'e("i 10 mg#ml ) ml

!2 Bitomenadion =it K1. tablet "alut gula 10 mg

!3 Buro"emid tablet 40 mg

!4 Buro"emid in'e("i 10 mg# ml in'

!5 Caram oralit untu( 200 ml air

!6 Centami"in "ul8at "alep (ulit 0,1%

!7 Centami"in "ul8at tete" mata 0,3%

!! Centian violet larutan 1%

!$ Cliben(lamid tablet 5 mg

$0 Climepirid 2 mg

$1 Cli"eril guaia(olat tablet 100 mg

$2 Clu(o"a larutan in8u" 5% "teril ?rodu( lo(al.

$3 Cri"eo8ulvin tablet 125 mg, micronized$4 *aloperidol tablet 0,5 mg

$5 *aloperidol tablet 1,5 mg

$6 *aloperidol tablet 5 mg

$7 *idro(lortiazid *+:. tablet 25 mg

$! *idro(orti"on (rim 2,5%


3/12

$$ &bupro8en tablet 200 mg

100 &bupro8en tablet 400 mg

101 &bupro8en "irup

102 &"o"orbid dinitrat tablet "ublingual 5 mg

103 Kal"ium la(tat Kal(. tablet 500 mg

104 Kaptopril tablet 12,5 mg

105 Kaptopril tablet 25 mg

106 Karbamazepin tablet 200 mg

107 Keto(onazol tablet 200 mg

10! Keto(onazol (rim 2%

10$ Ketamin in'e("i 10 mg#ml

110 Klindami"in (ap"ul 150 mg

111 Klindami"in (ap"ul 300 mg

112 Klo8azimin (ap"ul 100 mg micronized

113 Kloram8eni(ol (ap"ul 250 mg

114 Kloram8eni(ol tete" telinga 3%

115 Kloram8eni(ol tete" mata 0,5%

116 Kloram8eni(ol "alep mata 1%

117 Klor8eniramini maleat +:-. tablet 4 mg11! Kloro


4/12

152 i"tatin tablet "alut 500000 &

153 i"tatin tablet vaginal 100000 &#mg

154 i8edipin 10 mg tablet

155 bat atu( *itam *. cairan

156 >oacin tablet 200 mg

157 >oacin tablet 400 mg

15! ("itetra"i(lin *+l "alep mata 1%

15$ ("itetra"i(lin *+l "alep (ulit 3%

160 ("itetra"i(lin *+l in'e("i im 50mg#ml)10ml161 ("ito"in in'e("i 10 &#ml)10 ml

162 meprazol 20 mg (ap"ul

163 ndan"entron in'e("i

164 ?aracetamol "irup 120 mg#5 ml

165 ?aracetamol tablet 100 mg

166 ?aracetamol tablet 500 mg

167 ?ermetrin (rim 5 %

16! ?ilo(arpin *+l# itrat tete" mata 2%

16$ ?irantel tablet 125 mg

170 ?irido("in *+l =it 6. tabet 10 mg171 ?iro("i(am tablet 10 mg

172 ?iro("i(am tablet 20 mg

173 ?ovidon &odida 10% 30 ml

174 ?ovidon &odida 10% 300 ml

175 ?redni"on tablet 5 mg

176 ?rima(uin tablet 15 mg

177 ?ropiltioura"il tablet 100 mg

17! ?apaverin tablet 40 mg

17$ ?ropanolol *+l tablet 40 mg

1!0 anitidin tablet 150 mg

1!1 anitidin in'e("i

1!2 e"erpin tablet 0,10 mg

1!3 e"erpin tablet 0,25 mg

1!4 etinol =itamin A. (ap"ul 200000 &

1!5 9alep lu(a ba(ar

1!6 inger la(tat larutan in8u" "teril ?rodu( lo(al.

1!7 9alep 2)4, (ombina"i

1!! 9albutamol tablet 2 mg

1!$ 9albutamol tablet 4 mg

1$0 9ali"il beda( 2%

1$1 9erum Anti i"a lar ?olivalen in'e("i 5 ml A &.

1$2 9erum Anti :etanu" in'e("i 1500 &#ampul A:9.

1$3 9iano(obalamin =itamin 12. in'e("i 500 mcg)ml

1$4 9iano(obalamin =itamin 12. tablet

1$5 9imva"tatin 10 mg

1$6 9imva"tatin 20 mg

1$7 9ul8a"etamida atrium tete" mata 15%

1$! 9ul8adimidin tablet 500 mg

1$$ 9cabi"id cream200 :etra"i(in *cl (ap"ul 250 mg

201 :etra"i(lin *+l (ap"ul 500 mg

202 :iamin *+l =it 1. in'e("i 100 mg#ml)1 ml

203 :iamin *+l# mononitrat =it 1. tablet 50 mg

204 :ri@e("i8enidil *+l tablet 2 mg


5/12

205 =a("in rabie" vero

206 =itamin (omple(" tablet

207 Din( tablet

A;A: K9*A:A

20! Alat "unti( "e(ali pa(ai 1 ml

20$ Alat "unti( "e(ali pa(ai 2,5 ml # 3 ml

210 Alat "unti( "e(ali pa(ai 5 ml

211 Alat "unti( "e(ali pa(ai 10 ml

212 i"turi !. @omecare

213 i"turi 10. @omecare





21! +atgut#enang eda@ o 2#0 dengan 'arum beda@

21$ +atgut#enang eda@ o 3#0 dengan 'arum beda@

220 *and"coon 7 "teril

221 *and"coon 7,5 "teril

222 *and"coon non "teril

223 *22 9olution 3 %

224 &n8u"ion "et ana(

225 &n8u"ion "et deEa"a

226 &= +at@eter o 20 C

227 &= +at@eter o 22 C

22! &= +at@eter o 24 C

22$ Farum (ulit 1#2 circle C: u(uran4)15.)8u'itec

230 Farum (ulit 3#! circle C: u(uran$)14.)8u'itec

231 Farum (ulit 1#2 circle C: u(uran4)15.)8u'itec

232 Farum (ulit 3#! circle C: u(uran4)15.)8u'itec

233 Kapa" erlema( 500 gram

234 Kapa" pembalut#ab"orben 250 gram

235 (a"a ?embalut 2 m !0 cm

236 Ka"a ?embalut *idrol 4 m 3 cm ela"tic

237 Ka"a ?embalut *idrol 4 m 15 cm ela"tic

23! -a"(er

23$ aal *eating

240 ?la"ter 5 yard" 2 inc@

241 9il( enang eda@ 9utera. no 3#0 dengan 'arum beda@

242 9ti( gula dara@243 9ti( a"am urat

244 9ti( (ole"terol

245 Ging needle o 21 C



24! Ging needle o 27 C

A: C&C&

24$ til Klorida 9pray

250 ugenol

-engeta@ui,

Ka ?:/ ?9K9-A9 :;K /A*


6/12

A*-A/, A-K

&? 1$6304111$!$021001


7/12

MAS TAHUN 2017

Saua'

:ablet )

:ablet 400

:ube 100

:ablet )

:ablet 4,000

:ablet 500

:ablet 6,000

otol 550

:ablet )

Ampul )

:ablet ) :ablet 10,000

:ablet 10,000

Kap"ul 3,600

Kaplet 10,500

otol !00

:ablet 1,500

otol )

:ablet 3,600

Ampul 1!0

:ablet 16,000otol 420

:ube )

9upp )

?ot $0

:ablet 1,0!0

:ablet )

:ablet )

=ial )

=ial )

otol )

:ablet 500

:ablet )

:ablet 3,000

:ablet 5,400

:ablet 1,000

:ablet )

:ube $00

:ube )

:ablet ) :ablet 500

9irup 100

Kap"ul 5,000

:ablet 7,000

:ablet )

Pemaka%a'Raa(RaaPe& Bula'T)" 201*

+umla)Pemaka%a'T$al T)"

201*

Re'!a'aKe#uu)a'O#a T)"

2017


8/12

:ablet 3,600

Ampul )

Ampul 5

:ablet 5,400

Ampul 100

:ablet 5,400

9irup 500

Ampul )

:ablet 400 :ablet )

Ampul )

:ablet )

:ablet )

Kap"ul )

:ablet !,000

botol 200

:ablet )

:ablet )

Ampul )otol )

otol 1000 ml 36

otol 100 ml $0

otol )

Kap"ul )

Kap"ul 500

:ablet )

Ampul )

Kap"ul )

Kap"ul )

Ampul )

:ablet )

:ablet )

:ablet )

otol 1!0

:ablet 5,400

Ampul 100

:ablet 300

:ablet $00

Ampul )

Kantong 1,400

:ube 100

otol 200

otol 100

:ablet 1,000

:ablet 1,!00

:ablet 10,000

Kol8 )

:ablet $00 :ablet )

:ablet )

:ablet )

:ablet $00

:ube 200


9/12

:ablet )

:ablet $,000

9irup 100

:ablet )

:ablet 4,000

:ablet 5,000

:ablet 1!,000

:ablet )

:ablet 1,000

tube 130

Ampul )

Kap"ul )

Kap"ul )

Kap"ul )

Kap"ul 500

otol 200

otol )

:ube 200

:ablet 12,000 :ablet 1,000

:ablet )

:ablet )

:ablet 1,000

:ablet )

otol 100

:ablet 1,!00

:ablet )

:ablet 1,000

Ampul )

:ablet )

Ampul 540

otol )

:ablet 600

:ablet 1,000

Ampul )

Ampul )

ung(u" )

otol )

:ablet )

:ablet 1,000

Ampul 1,000

:ablet 1,000

:ablet 1,!00

:ablet )

:ablet 5,400

Ampul )

:ablet 1,!00

:ube ) :ube 1!0

otol 400

:ablet 4,000

:ablet 1,000

otol !0


10/12


11/12

vial )

:ablet 4,000

:ablet 1,500

)

ung(u" 500

ung(u" 500

ung(u" 500

ung(u" 500

?c" )

?c" )

?c" )

pc" )

?c" )

?c" )

2470 cm#(t( 100

2470 cm#(t( 100

ung(u" 500

ung(u" 100

ung(u" 5,400

botol 10

pc" )

?c" )

?c" 50

pc" 50

?c" 50

?c" 10

?c" 10

?c" 10

?c" 10

ung(u" 50

ung(u" 10

oll 10

oll 500

oll 500

ung(u" 6,000

pc" 10

?c" $0

?c" 200

?c" 300?c" 300

?c" 300

?c" 200

?c" 200

?c" 200

?c" )

=ial#can#100ml 10

12 btlH10ml#(t( 1

:;K /A*, 22 -A: 2016

?etuga" ?engelola bat


12/12

*A9&9, 9 Barm, Apt

&? 1$!$06272015032004

RKO OBAT GUDANG TAHUN 2017.xlsx

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